Articles tagged with Clinical Research
A recent study found that eating fortified eggs had no adverse effect on blood cholesterol levels and may even have beneficial effects on cardiovascular health. Subgroup analyses revealed potential benefits among older adults and those with diabetes.
A new study suggests that anxiety and depression in younger women may accelerate the development of cardiovascular risk factors, putting them at nearly par with men of the same age. The researchers found that these mental health conditions were associated with a much higher relative risk among young women than seen in other groups.
A nationwide study finds that individuals diagnosed with colon cancer who resided in previously redlined neighborhoods are more likely to be diagnosed with advanced-stage disease and have worse survival rates. The research highlights the long-lasting impact of institutional racism on access to quality cancer care.
A study published in Nature Genetics reveals early cell changes in healthy carriers of BRCA1 and BRCA2 gene mutations, suggesting a potential target for breast cancer prevention. The researchers created the world's largest catalogue of human breast cells, which may lead to the use of existing immunotherapy drugs as an early intervention.
The study found that neoadjuvant chemotherapy increased median overall survival to 37 months and progression-free survival to 26 months. 57.2% of patients showed an objective response, with nearly one-fourth experiencing lymph-node pathologic complete response.
Researchers at Weill Cornell Medicine have identified mutations in the ARID1A gene that drive follicular lymphoma transformation into a more aggressive form. These mutations make patients highly susceptible to experimental BAF-inhibitor drugs, offering new hope for early intervention therapies.
A retrospective cohort study found that PERT significantly reduced the incidence of acute pancreatitis episodes among children with recurrent or chronic pancreatitis. The study also identified genetic markers, such as SPINK1 mutation, that influence treatment outcomes and suggest a tailored approach to patient care.
Researchers developed an app to detect mild cognitive impairment, a potential indicator of Alzheimer's disease. The study used data from 199 older adults and found that the app detected MCI with high accuracy, comparable to in-clinic assessments.
Researchers assessed the feasibility of dual PD-L1/CTLA-4 checkpoint inhibition in Stage II or III hormone receptor-positive, HER2-negative breast cancer. Eight patients received upfront durvalumab and tremelimumab prior to neoadjuvant chemotherapy, showing mixed responses and limited benefit.
Researchers developed an index to optimize picosecond laser treatment for skin blemishes, showing low complication rates and high efficacy. The wavelength-dependent indicators are expected to improve the safety and effectiveness of the treatment.
The University of Cincinnati Cancer Center team has opened a Phase 2 clinical trial to test a new combination treatment for glioblastomas, a deadly form of brain tumors. The treatment uses letrozole, a drug that targets an enzyme present in breast cancer cells, and temozolomide, a chemotherapy drug already approved as a GBM treatment.
A recent Johns Hopkins Children's Center study reveals a significant negative impact of the COVID-19 pandemic on youth minority mental health. The research found increased rates of depression, anxiety, and suicidal thoughts among adolescents in racial and ethnic minorities, with Black females showing a 90.2% increase in suicidal thoughts.
A UK trial found that giving e-cigarette starter packs to smokers in emergency departments led to a significant increase in quitting, with nearly one-quarter of participants successful after six months. The intervention also helped those who didn't quit reduce their cigarette smoking.
A randomized clinical trial has shown that delaying surgical repair of inguinal hernias in preterm infants until after discharge from the NICU reduces serious adverse events. The study found a high likelihood of hernia resolution with late repair, allowing for quicker hospital discharge.
A large retrospective cohort study found no increased risk of cauda equina syndrome in adults with low back pain who received chiropractic spinal manipulation. The study analyzed over 130,000 patients and suggested that underlying disc degeneration may be a risk factor for CES regardless of treatment approach.
A Mount Sinai study found that primary care physicians' approach to selecting patients with comorbidities for lung cancer screening is influenced by subjective clinical judgments. The researchers recommend streamlined protocols and clearer guidelines to increase adoption of lung cancer screening for this high-risk population.
Dr. Chana Sacks is the new Editor-in-Chief of NEJM Evidence, focusing on providing high-quality, practice-changing evidence for medical professionals. The journal aims to change how medical professionals think about generating evidence while making clinical learning engaging and fun.
Researchers found a 32% vaccine uptake among patients asked about receiving the flu shot and a 41% uptake for those who received a pamphlet, watched a video, and were told about benefits. The study suggests a systematic approach to increase vaccine uptake among underserved populations.
A new study published in BMC Psychiatry explores the fear of depression recurrence (FoDR) among people with major depressive disorder. Researchers found that FoDR can lead to increased anxiety and negative mood changes, while also triggering avoidance behaviors.
Researchers present findings on immunotherapy approaches, a potential biomarker for neuroendocrine carcinomas, and improved treatments for pancreatic cancer and melanoma. A UCLA team identified UCHL1 as a molecular indicator and therapeutic target for aggressive neuroendocrine cancers.
Researchers found that individuals with a single mutated copy of the MUTYH gene have a modest increase in susceptibility to a subset of solid tumors, including adrenal gland cancers and pancreatic islet cell tumors. This suggests that MUTYH variants may be involved in a broader range of cancers than previously known.
A new study published in Stroke found that exposure to artificial, bright outdoor nighttime light may increase the risk of cerebrovascular disease and stroke. The research, which analyzed data from over 28,000 adults living in China, suggests that higher levels of outdoor light pollution at night may be a risk factor for these conditions.
A comparative study of four major type 2 diabetes medications reveals differences in medication acceptance, quality of life, insulin secretion, and mortality. The GRADE Study found that younger age and higher blood sugar levels at baseline were associated with poor blood sugar control over time.
Primary care physicians struggle to balance harms and benefits of lung cancer screening in patients with multiple health issues, often relying on clinical judgment. Ultimately, the decision rests with the patient, who makes their own choice despite physician advice.
A department-wide EHR optimization project led to improved productivity by addressing workflow problems and creating new policies. The study demonstrates the importance of ongoing collaboration between EHR users and IT colleagues to enhance user experience and inform technology upgrades.
Researchers from USC's Keck School of Medicine synthesized over 23,000 studies to inform updated clinical practice guidelines for ADHD. The comprehensive literature review found that both medications and psychosocial treatments work for treating ADHD and that children can and do get better.
Patients with multimorbidity and limited life expectancy are often unaware of the potential harms of lung cancer screening. Despite this, many agree to undergo screening due to personal health goals, trust in their clinician, and anticipation of regret over not getting screened. Discussions between patients and clinicians about the ben...
The International Osteoporosis Foundation and European Society for Clinical and Economic Aspects of Osteoporosis have issued new guidelines for managing osteoporosis in men. These recommendations cover disease burden, fracture risk assessment, treatment thresholds, and interventions to reduce the substantial morbidity and mortality ass...
A recent study published in JAMA found that Black patients are less likely to receive a heart transplant than white patients, with odds of acceptance being higher for white candidates. The study also revealed that the intersection of race and gender often worsens access for Black women.
Researchers are developing a flexible online tool to navigate information used in the fight against deadly diarrheal diseases. The Plan-EO dashboard will provide real-time data on pathogen dynamics, allowing infectious disease experts and local leaders to make smart decisions and save lives.
Researchers successfully carried out pioneering fecal microbiota transplantations on Navy bottlenose dolphins, showing significant improvement and increased microbial diversity. The study's findings have important implications for marine mammal medicine, highlighting a non-antibiotic option to treat gastrointestinal diseases.
Pet owners are most likely to help their overweight pets lose weight when veterinarians caution about the impact of obesity on life expectancy. Impact on life expectancy is the top concern for cat owners, while life expectancy and arthritis are the top concerns for dog owners.
A new study published in Thyroid found that individuals with low-risk differentiated thyroid cancer (DTC) in the US experience lower mortality rates compared to the general population. The most common causes of death were malignancies and cardiovascular disease.
Researchers discovered a new treatment that strengthens muscles in patients with Myasthenia Gravis, an autoimmune disease leading to severe weakness and fatigue. The breakthrough, targeting the connection between nerves and muscle cells, shows promising results without significant side effects.
Researchers have developed a cost-effective approach for identifying L. pneumophila using whole genome sequencing, which can analyze available specimens without culturing. This method has already been used to identify the source of deadly Legionnaires' disease outbreaks, including a 2015 outbreak in New York City.
A study from Lund University found that a ceramic bone substitute injection improves the strength of bone anchors and enhances peri-implant bone formation. The treatment combination shows promising results in increasing bone tissue density by up to 10% six months after surgery.
Researchers have discovered a new immunotherapy approach to overcome resistant leukemia by targeting the mutated TP53 gene. Combining pharmacological therapies with genetically engineered CAR T-cells increases effectiveness against cancer cells, offering promising strategies for patients with resistant disease.
A new study found that women with a history of adverse pregnancy complications can reduce their risk of developing heart disease by maintaining healthy lifestyle behaviors. The research, presented at the American Heart Association's 2024 meeting, used data from the UK Biobank to evaluate the association between Life's Essential 8 score...
Researchers at NTU Singapore have created a chip that can directly isolate blood plasma from a tube of blood in just 30 minutes, removing over 99.9% of blood cells and platelets. The device, called ExoArc, enables high-quality plasma for disease screening and research, improving diagnosis accuracy and reducing waiting times.
Research finds that supplementing propionate suppresses neurodegeneration in animal models of Parkinson's disease by regulating interorgan signalling. Increasing propionate levels rescues transcriptional aberration and enhances energy production, promoting neuronal health without protein aggregate dispersal.
Researchers at WVU are developing an AI tool to reduce medication errors that lead to hospital readmissions, aiming to improve patient safety and reduce healthcare costs. The tool will analyze patient records and identify high-risk patients, alerting pharmacists to potential issues.
A free, weekly home delivery program of fresh fruits and vegetables improved participants' nutrition levels, physical activity levels, and cardiovascular disease risk factors. The 16-week program resulted in significant improvements in food insecurity, diet quality, and indicators of cardiovascular health.
A study published in Genome Medicine uses digital twins to computationally treat thousands of medications in individual patients with autoimmune diseases, finding promising results in mice and human tissue samples. The technology has the potential to revolutionize precision medicine by providing tailored medication for each patient.
A Johns Hopkins Medicine research team found a cell surface protein that senses odors and chemicals may be responsible for the long-known difference in blood pressure between females and males. The study, published in Science Advances, used data from mice and humans to investigate the link between an odor sensor and blood pressure.
NeXT Personal assay detects up to ~1,800 somatic variants specific to the patient's tumor with a detection threshold of 1.67 PPM and 99.9% specificity. The assay showed linearity over a range of 0.8 to 300,000 PPM.
Researchers found that early antibiotic treatment accelerated recovery in COVID-19 patients. The study used a combination of antibiotics, including amoxicillin and rifaximin, within the first three days of infection. This treatment significantly reduced the risk of long-term COVID symptoms.
A combined PET-MRI scan improved treatment outcomes for 57 out of 205 patients with early-stage breast cancer. The scan helped doctors spot signs of tumour spread, enabling alternative treatments such as chemotherapy or different surgical approaches.
A new analysis published in Andrology found a higher genetic susceptibility to leisure computer usage was associated with a greater risk of erectile dysfunction in men. Each 1.2 hour increase in leisure computer usage predicted a 3.57-fold greater odds of erectile dysfunction.
A new AI tool can predict which breast cancer patients are at risk of chronic arm swelling after surgery and radiotherapy. The tool, developed by international researchers, uses machine learning algorithms to analyze patient data and provides easily understandable explanations for doctors and patients.
Adding ribociclib to hormone therapy improves invasive disease-free survival by 90.4% at three years, distant disease-free survival by 90.8%, and recurrence-free survival by 91.7%. The study found a 25% relative reduction in recurrence rate for patients with stage 2 or 3 HR-positive, HER2-negative early breast cancer.
Researchers have developed a vascularized organoid model (VOM) that accurately replicates the actual vasculature and environment of gastric cancer, enabling patient-specific predictions of response to anticancer drugs. The VOM demonstrates high cell viability rates and similarity to actual gastric cancer conditions.
Research suggests that early-life tobacco exposure significantly increases the risk of developing Type 2 diabetes in adulthood, particularly for individuals with a high genetic risk. Lifestyle factors such as diet, exercise, and smoking habits may modify this risk, emphasizing the importance of healthy lifestyle choices.
A mobile app using AI analyzes images of suspected skin lesions and provides guidance on whether they are melanoma or not. The app was tested in primary care and showed promising results, accurately diagnosing melanoma in all cases and determining harmless lesions with a high probability.
A new genetic test has identified patients with triple negative early-stage breast cancer who are unlikely to respond to immunotherapy drugs. The test, called ImPrintTN, can predict a patient's likelihood of responding to these treatments and help avoid severe side effects.
The study found that craniofacial injuries related to exercise and weightlifting have increased sharply over the past decade, with higher rates in men and younger age groups. Safe exercise practices, including proper technique training and supervision by gym staff, are recommended to reduce injury rates.
Preliminary research suggests that short-term heat exposure can lead to increased inflammation and impaired immune function, making individuals more susceptible to infections. Adults older than 60 and those with existing cardiovascular disease are particularly at risk.
Researchers at Brigham and Women's Hospital developed a sprayable adhesive hydrogel product to address GI wound management limitations. The material promotes rapid wound healing, provides tissue protection, and minimizes complications under harsh conditions.
A new study from Johns Hopkins Medicine found that circulating tumor DNA levels can accurately assess how gastroesophageal cancers respond to treatment and predict future prognosis. The study tracked minimal residual disease by analyzing ctDNA, showing a correlation between ctDNA clearance and cancer-free survival.
Recent medications for Type 2 diabetes and weight loss have positive effects on cardiovascular and kidney health but are not always prescribed or accessible to those who need them. The studies highlight the need to address barriers to access and equity, particularly among Black adults with severe obesity.
The Sylvester Comprehensive Cancer Center researchers will investigate the genetics behind endometrial cancer in Black women and its awareness among different populations. They aim to identify high-risk women, understand hereditary mutations, and raise physician awareness.